A case of type 2 diabetes mellitus leading to euglycemic diabetic ketoacidosis in 3 days after starting sodium-glucose cotransporter 2 inhibitor while on a very-low-carbohydrate diet

Abstract

This paper presents a case with type 2 diabetes mellitus on a very low-carbohydrate diet who developed euglycemic diabetic ketoacidosis (EDKA) 3 days after starting sodium-glucose cotransporter 2 inhibitors (SGLT2i). When initiating SGLT2i, healthcare providers should confirm the implementation of a low-carbohydrate diet and provide intensive guidance to prevent EDKA.